Other

World Medical Manufacturing Corporation

Medtronic Vascular, Inc.

Syde A Taheri

Howard J Leonhardt

Trevor Greenan

The present invention relates to an apparatus for deploying an endoluminal prosthesis for engrafting a blood vessel. The apparatus includes a bifurcated graft that is able to conform to the interior surface of the blood vessel and can be deployed through a single entry site.

Apparatus for engrafting a blood vessel

A system and method for exclusion of an aneurysm of an aortic arch region using a graft delivery system capable of maneuvering around an aortic arch, an aortic arch graft, and an occluder system for isolating an aneurysm while occluding one or more corresponding arteries, and with bypass of those arteries being performed using one or more selected bypass grafts. The graft may be branched or branchless. The graft delivery system has a flexible sheath that is manipulated manually with the aid of a guidance system. A hoist delivery system may also be provided. The occluder system may comprise independent occluders with one or more anchor members adjacent to one end. Alternatively, the occluders can be provided as part of the aortic arch graft, either as a built-in singular self-deploying occluder or as built-in multiple occluders. A kit is also provided containing a graft, stents, occluders, and optional delivery system.

Exclusion of ascending/descending aorta and/or aortic arch aneurysm

A method for deploying an endoluminal prosthesis by introducing into a bifurcated vessel a sheath introducer having therein a bifurcated graft with a primary and contralateral limb. The contralateral limb being radially retained independent of the sheath introducer. The graft being positionable by an insertion catheter. When the graft is in position within the vessel, a retaining device about the contralateral limb is broken and the graft takes the shape of the vessel.

Method for engrafting a blood vessel

The present invention relates to an apparatus for deploying and endoluminal prosthesis. The apparatus includes a flexible compressible push rod that allows the catheter to be easily maneuvered through tortuous vessels while providing sufficient deployment force.

A biological pacemaker and implantation catheter for restoring normal or near normal heartbeat function without a mechanical pacemaker. The biological pacemaker is provided by a bridge of implantation cells, such as nerve cells, stem cells or ganglion cells, that are introduced into an area of electrical malfunction, such as an impaired SA node or a blocked AV node. The implantation cells grow to form a conductive cell bridge around the malfunction area so that a new pathway is provided for the electrical signals responsible for triggering heart beat contractions. The implantation catheter has a central nerve cell injection needle connected to a syringe or the like via a cell injection tube, and two elongated lateral stabilizing needles. The catheter is inserted into a blood vessel in a patient's leg, arm, shoulder or the like, and advanced until the catheter's distal end is located above the malfunction area. The distal end of the catheter is bent so that the three needles are facing the malfunction area. The two stabilizing needles are advanced into the heart wall to stabilize the catheter and the nerve cell injection needle is advanced for injection of the implantation cells.

Biological pacemaker and implantation catheter

In a method for autologous myocardial implantation treatment, a donor area of a patient containing healthy skeletal muscle is located. Myocyte micro granules are retrieved from the donor area using a retrieval device and either directly implanted into an implantation area of the patient's myocardium, or they are transferred to an implantation device and then implanted. No intervening cell culturing is performed between myocyte micro granule retrieval and implantation. A retrieval device that may be used to retrieve the myocyte micro granules from the donor area includes one or more extraction probes each having a distal tip adapted to be inserted into the skeletal muscle of the donor area. The retrieval device further includes a retrieval system that causes each distal tip to withdraw a myocyte micro granule upon removal thereof from the donor area. An implantation device that may be used to implant the myocyte micro granules includes a tubular body, an injection tip on the body that is adapted to enter the damaged area and deliver the micro granules, and a plunger within the body for pushing the micro granules through the injection tip. In one configuration of the implantation device that is especially adapted for implantation according to an epicardial approach, the device includes a handle extending laterally from the body for grasping by a medical practitioner when the injection tip is placed in the beating myocardium. In another configuration of the implantation device that is especially adapted for implantation according to a transfemoral approach, the device includes a retractable screen system for blocking myocyte micro granules from leaving the myocardium during implantation.

Autologous myocyte micro granual retrieval and implantation (AMMGRI)

A percutaneous epicardial injection apparatus for myocardial repair and treatment includes a catheter having a tubular wall, an interior portion surrounded by the tubular wall, a base end, a distal end, and a central longitudinal axis extending between the catheter base end and the catheter distal end. The catheter distal end has an end face that is formed at an oblique angle relative to the catheter longitudinal axis and adapted to attach to a patient's myocardium using suction. A lumen extends from the catheter base end to the catheter distal end within the catheter interior. The lumen is adapted to slidably support an elongated syringe having a needle tip adapted for movement between a retracted position wherein the needle tip is recessed within the catheter interior to an extended position wherein the needle tip extends from the catheter interior. The injection apparatus may be used to introduce a myocardial repair or treatment material into a dysfunctional area of the myocardium while the catheter distal end is attached thereto by extending the needle tip into the myocardium and injecting the myocardial repair or treatment material into the dysfunctional area.

Percutaneous epicardial injection

A cradle apparatus for myocardial repair and treatment includes a cradle having a base end and an open end. A lumen extends to a location which is at or near the cradle's base end. A plurality of spring arms are mounted to the lumen and attached to the open end of the cradle. The spring arms are biased to apply an opening force to the open end of the cradle such that the cradle apparatus can be compacted into a percutaneous or transarterial introducer and then expanded upon emergence from the introducer to engage a ventricular wall of a heart. The cradle is adapted to apply a myocardial repair or treatment material, such as myocyte cells, medicines and like, to a dysfunctional myocardium. A balloon cradle apparatus is also disclosed for myocardial treatment via an endocardial approach.

Cradle-assisted myocardial repair and treatment

A prosthetic valve adapted to be inserted into a blood vessel and held in a desired position therein. The valve includes an annular support ring having a longitudinal axis and defining a substantially circular central opening for passage of blood. The support ring has an outer wall that may be formed with a central annular depression. A leaflet is mounted on the support ring for pivotal movement between a closed position wherein the leaflet substantially blocks the central opening and an open position wherein blood is permitted through the opening. The valve is adapted to be inserted into the blood vessel such that the support ring longitudinal axis is substantially coincident with an axis of elongation of said blood vessel and held in such position in suitable fashion, such as by suturing or by way of a tightened cord holding a proximate portion of the blood vessel against the support outer wall if it is formed with an annular depression. The valve may additionally include a radial passage extending through the support ring and a stem extending radially outwardly from the radial passage. The stem has a central bore communicating with the radial passage and is adapted to extend through the wall of the blood vessel when the valve is mounted therein and provide an entry for introduction of anti-clotting agents and other materials proximate the valve. The valve may further include a plurality of external stabilizer elements adapted to extend through the wall of the blood vessel and provide locations for attaching various valve stabilizing assemblies. The support ring can also be made to be deformable or expandable to facilitate insertion and securement thereof in the vein.

Prosthetic vein valve and method

A support at the distal end of a bypass vein of either a synthetic material or of a saphenous vein for deployment inside an artery and the like to bypass a blockage in the artery, is described. The bypass vein is secured to a perimeter of the support with at least two protrusions extending from the support. The support and associate bypass vein are deployed inside the artery and then the support is pulled up against the artery wall by strings connected thereto to provide the bypass vein extending from the artery distal to the blockage. The other end of the bypass vein is then secured to artery proximate the occlusion to thereby establish blood flow.

Arterial bypass procedure

A method of autogenous cell patch cardio myoplasty using noninvasive thoracoscopy is disclosed. A patient's greater omentum is separated from its point of attachment to either the greater curvature of the stomach or the transverse colon. All open blood vessels in the greater omentum are ligated to permanently arrest bleeding. The greater omentum is introduced into the left pleural cavity through an opening in the diaphragm. Muscle grafts are removed from skeletal muscle tissue of the patient and an opening is formed in the pericardium to expose an area of damaged myocardium. Following attachment of the skeletal muscle grafts to either the greater omentum or the damaged myocardium area, preferably using an advanced muscle graft implantation system, the greater omentum is wrapped around the heart and attached thereto in order to reinforce the muscle grafts and enrich them with blood flow from the greater omentum.

Autogenous cell patch cardio myoplasty and advanced muscle graft implantation system

A method is disclosed for enhancing a solid food product with a supplement formulated to enhance the taste, color, nutritional value, vitamin content or medicinal properties of the food product. The food product, which could be a vegetable, fruit or bread product, is treated with a liquid food extract supplement using either a spraying device containing a supplement in liquid form, or by injection with a supplement following optional heating to soften the interior of the food product to a consistency that permits supplement injection and disbursal therein, or by immersing the food product in a supplement and applying pressure.

Method and combination for producing supplement-enhanced solid food product

An apparatus and method for engrafting a blood vessel are disclosed. The apparatus includes a tubular graft having radially compressible annular spring portions for biasing proximal and distal ends of the graft into conforming fixed engagement with an interior surface of the vessel, with bifurcated and adjustable length embodiments being disclosed. Apparatus for deploying the graft includes an insertion catheter having a nitinol core wire, a controllable tip balloon-at a remote end thereof for dilation and occlusion of the vessel, and a controllable graft balloon in the vicinity of the tip balloon for fixedly seating the spring portions into conformance with the interior surface of the vessel. A spool apparatus for adjusting or removing an improperly placed graft, and a micro-emboli filter tube, are usable with the deployment apparatus. A method of percutaneously implanting a graft, including a single-entry method for percutaneously implanting a bifurcated graft, are also disclosed.

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Buffalo, NY, United States of America

Syde A Taheri